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HomeMy WebLinkAboutBLD92-1259 Pole Building - BLD Permit / Conditions - 11/13/1992i MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O, Box 186 Shelton, Washington 98584 I fit 09.1 # 1 1 it ,(A IHI 100t41 U P( ,I I I!)k; f']1?i, , . i Jfs 8YN IFKU S11t` 1 ION 26--6b 1 UWNUR IS CONURACt[IR I ! 1 +•t,l 11 1 It it St f5 i1462:63-1111 III IIF7tiI Nl tJ fit_i11( N Hi's I H ANtiBflf III "Alf RI(:IlVl If1P( ANAaPi B7 "Alf RiCE(P1 i Y 1 i +7; 1 i Al f.. I f?k i I '] N arwo]�s., m:c nee,-: �c�a r�r .�,r,a :4x ,�-,,x�e .,� ,.•: .'zm ,,`v f)[.f 111° I.I•,iI)E� - .. lit till II II]1-I ; 1 - 6'1i r �Pkkt } 14.5i ii tfft ,!'►. -11nS; t I f'Yt't It ' + ]tfV', i - f ih1 E'1 (i1 1 ', ii IYIfI � 2f� IN 1.S !ljltiy? ilna; Ilf.' !if' i +io 1l 4i I.if;1)tf', 1 t11i1 Q1 f';1f4 } 1 f•6 ) [1(Itrv;' sfr.t;' t'At;V t Nit 0 1 t CN'-I , I 111)I4 61,1 A lit?(,1 1 1Ni N � ++ iv SY6Yi'%'].--:. V.^PSiMkRgt:.A- '�i,c'i�'SSLVltIYm. Q03�2:� �-•.T+F 'RLly�4ub'Y`�#S!{fe0�].C�•••,eSRA F Ctc{+I i i fi t 1 I I '. . 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At AM: I14f AM VORI 1,; 01RAMf11. ivibfOtt III fl)NlINI)Al1011 i;F 1,101 I , A P0160 "s 14,;PfI IION III iK14 IPt 190 It A'( PtR1ON f1AA1 10,Pft iIgo oil ti1 91 APFkt►�lft' I�3 "Alif HIII01N6 i6N Ni OMPIF6 Q W 1 014 8LR NkNi , 1av: f1;, ilj!i.i COMPLIANCE 10 AI t At.Ht.1) C ONO I 110NS I RUQUIRt If CONCRETE ;,,L ry j� MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date ;,'a by ✓ G Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date FRAMING by date by date by Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date C�/� by / date by I i MASON COUNTY i Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING Attic OTHER Groundwork date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by I II I ✓ MASON COUNTY BUILDING PERMIT APPLICATION PLUSE PRINT �/� � / `" T- #1 owner /t l-/v -s f o phone# =Z C — �S i z Site Address W.a se C city -s/�/_=LTc,� st w.4s� zip 9rf 5'8s — Directions to Job Site r yY�5 ' air 1 R /J o v C R c-ry R Q,��s T �►/ L /�l a mot/ i �1 tt.[ E ESe f mod, tit Rr'P>. W'4 v T e 17 Owner Mailing Address ,5A,4fj .4g A.BoY/.- City St Zip Lien/Title Holder /YD iY4E- Address City St Zip i #2 Contractor Name le- Contractor Reg# Address Expiration date City St Zip Phone #3 If septic is located on project site, include records. Connect to Septic? A10 Public Water Supply_�� Well X'0 (If residential, proof of potable water may be required) #4 Parcel No. 6 ik - 15el_ - a o o f ra Legal Description t/ / a{ JYg 5 G #5 Building Square Footage: (existing/proposed) ist F1 2nd Fl 'T- 3 rd Fl Loft t- Basement -7- - Deck , #bedrooms_-f— #bathrooms Garage - 4-- Carport --f— (Circle: Attached or Detached?) Other c� - /3 vi/-bi,2c, sq f t 96 J /0$5 #6 Use of building Ham/ r R �oy 1/, Describe work 4/'O �A I'�/I /S/a �L B�t�n c !/V :s/ R y c /� #7 Type of Job: New Add Alt Repair Demolition W Re- Roof Re Roof Bulkhead Othe r #8 MOBILE HOME INFORMATI N Model Year Make Model Length Width_ Serial No. #Bedrooms #Bathrooms Type of Heat #9 Any water on or adjacent to property: saltwater_ lake river pond-- wetland seasonal runoff other Vent Svstems X 3 . 00 _ Bath Basins Bath Tubs Vent Fans X 3 . 00 _ No. Boilers/C Showers ompressors Hot Water Htr 0-3 HP 6 . 00 Laundry Washer 3 -15 HP 0015-30 HP Sinks 6 . 00 _ 6 Floor Drains 30-50 HP 0050 + Hp Laundry Basins 6 . 00 Dishwasher No. Air Handling Unit Disposal <= 10000 cfm. 7 . 50 > 10000 cfm. 7 . 50 Urinals 0�� Other Evap Coolers Hoods Permit Basic Fee 3 . 00 Fire Suppression TOTAL PLUMING $ Domes . Incin. COmml. Incin. 00 Mechanical Fixtureg Reloc/Repair No. Fuel Types Gas Outlets X 2 .00 ,- Furs < 100F, BTU Woodstove separa o 6 . 00 Other >a 100K BTU � 0 Furn - Floor _ 6 . 00 permit Basic Fee Heat Pumps 10 . 00 -- - TOTAL MEcEANICAL $ NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AIITHORIZED IS NOT COMMENCED WITHIN ISO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK ZS COMMENCE OWNERS AFF=AVIT CONTRA,C"MRS AFFMA= I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS AwE I CERTIFY THAT I AN A CURRENTLY REGISTERED CONTRACTOR REGISTRATION LAW RCN 18.27 , AND A !N THE STATE OF WISHINGTON A OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH AND I AN AWARE OF THE THIS PERMIT IS ISSUED ANO THAT ALL WORK DONE WILL BE IN ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH CONFORMANCE TNEREII!TH. NO CHANGES SHALL BE MADE THE PERMIT I AMCALL WORK GONE WILL BE IN CONFORMANCE THEREWITH. HERREWITEWIT BH. NO CHANGES SHALL BE MADE VITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST DEPARTMENT. 08TAINING APPROVAL FROM THE BUILDING XP1NFsR % BY DATE Return permit to : Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 FOR OFFICIAL USE ONLY: Accepted by: 'E- Date: �� Show following on the site plan I Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Name of Flanking Street LIDDate:-. Name of Fronting Street APPLICANT TO DRAW SITE PLAN BELO Cut s % J \ sep�a�15 PLICANT TO DRAW TOPOGRAPHY PROFILE ELO 1 � 1 FOR OFFICE USE ONLY Approved Cond Hold Approval Planning: Ing Environmental Health: MI Building Plan Review: �a Occupancy Group: Fire Marshall: Other: FEES llSpecial Conditions: it Ilsite Inspection I Il it II II IlBuilding Permit I <� II II II 1� � �l Il II Violation Fee I I! II II Ilviolation Investigation Fee I II Il II Il Plan Check I II II II H .I Il II Il Plumbing Fee I II II II 1 ;I II II IlMechanical Fee 1 II II it 1. A II 11 Ilwoodstove Fee 1 11 11 C 1 H II 11 IlBuilding State-Fee i r ii IL 'I I. _ IlBuilding Valuation: 90RO I1 II TOTAL I t©` II